Registration Form
* obligatory
First Name
*
:
Last Name
*
:
Title:
Email
*
:
Contact Adress
*
:
City
*
:
Postal Code
*
:
Country
*
:
Organisation
*
:
If you are already involved in cluster and innovation based competitiveness initiatives, please list the programme/project title(s) and a short explanation:
Sector:
Academia
Private Seector
Government
Donor Organization
Consultant
Student
Other
Web page:
Contact Telephone (including country code)
*
:
Fax (including country code):
Does your participation depend on the organizers sponsoring (in part or in full) your registration and travel cost?:
no, costs will be covered
yes, full sponsorship needed.
yes, partly sponsorhip needed.
If so, please indicate the sponsorship you require (in USD):
Will you need a visa invitation letter:
yes, I will need an invitation letter
no, I don't need an invitation letter
If yes, please provide us with your passport number:
Registration Fee
*
:
Local, regional and national participants: USD 700
International participants: USD 1200
Payment method
*
:
Paypal
Cheque
Bank Transfer
Other
